The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptoms
Purpose: To document how acute cerebrovascular accidents (CVAs) present first to an ophthalmologist. Methods: Retrospective, observational, unicentric hospital-based study. The electronic medical records of new patients who presented to the Neuro-ophthalmology department of a tertiary eye hospital i...
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-02-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_2456_23 |
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| author | Ruhel Kurudamannil Chacko Devu Krishna Karthik Kumar Virna M Shah |
| author_facet | Ruhel Kurudamannil Chacko Devu Krishna Karthik Kumar Virna M Shah |
| author_sort | Ruhel Kurudamannil Chacko |
| collection | DOAJ |
| description | Purpose:
To document how acute cerebrovascular accidents (CVAs) present first to an ophthalmologist.
Methods:
Retrospective, observational, unicentric hospital-based study. The electronic medical records of new patients who presented to the Neuro-ophthalmology department of a tertiary eye hospital in the month of August 2022 were reviewed. Those with symptoms suggestive of an acute stroke requiring urgent neuroimaging were chosen for further study.
Results:
Out of the 710 new patients, 31 had a known CVA and presented with field defects (4.3%). We recognized nine new patients, subsequently diagnosed to have a CVA, initially presenting with ocular symptoms such as homonymous hemianopia in seven cases and two others as transient obscuration of vision and internuclear ophthalmoplegia.
Conclusion:
Posterior circulation strokes commonly present first to an ophthalmologist, the early recognition of which is of utmost importance. |
| format | Article |
| id | doaj-art-2783b9d8fd75443f906b68e897cb624c |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-2783b9d8fd75443f906b68e897cb624c2025-02-06T05:39:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-02-0173228729110.4103/IJO.IJO_2456_23The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptomsRuhel Kurudamannil ChackoDevu KrishnaKarthik KumarVirna M ShahPurpose: To document how acute cerebrovascular accidents (CVAs) present first to an ophthalmologist. Methods: Retrospective, observational, unicentric hospital-based study. The electronic medical records of new patients who presented to the Neuro-ophthalmology department of a tertiary eye hospital in the month of August 2022 were reviewed. Those with symptoms suggestive of an acute stroke requiring urgent neuroimaging were chosen for further study. Results: Out of the 710 new patients, 31 had a known CVA and presented with field defects (4.3%). We recognized nine new patients, subsequently diagnosed to have a CVA, initially presenting with ocular symptoms such as homonymous hemianopia in seven cases and two others as transient obscuration of vision and internuclear ophthalmoplegia. Conclusion: Posterior circulation strokes commonly present first to an ophthalmologist, the early recognition of which is of utmost importance.https://journals.lww.com/10.4103/IJO.IJO_2456_23hemianopiainternuclear ophthalmoplegianeuro-ophthalmologyposterior circulation strokesstroke |
| spellingShingle | Ruhel Kurudamannil Chacko Devu Krishna Karthik Kumar Virna M Shah The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptoms Indian Journal of Ophthalmology hemianopia internuclear ophthalmoplegia neuro-ophthalmology posterior circulation strokes stroke |
| title | The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptoms |
| title_full | The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptoms |
| title_fullStr | The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptoms |
| title_full_unstemmed | The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptoms |
| title_short | The intersection of ophthalmology and neurology: Diagnosing acute strokes through visual symptoms |
| title_sort | intersection of ophthalmology and neurology diagnosing acute strokes through visual symptoms |
| topic | hemianopia internuclear ophthalmoplegia neuro-ophthalmology posterior circulation strokes stroke |
| url | https://journals.lww.com/10.4103/IJO.IJO_2456_23 |
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